How often do general practitioners prescribe antibiotics for otitis media and the most common respiratory tract infections?
DOI:
https://doi.org/10.5324/nje.v11i1.537Abstract
ABSTRACT
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Antibiotics, general practice, diagnoses, respiratory tract infections, otitis media, pharmacoepidemiologyExcept for upper respiratory tract infection, antibiotic treatment is the rule not an exception, for
all the diagnoses studied. In general practice, improved communication- and prescribing-skills are probably
essentials for implementing a more evidence based treatment of otitis media, and the common respiratory
tract infections. The significance of patient related factors for seeing a GP (or not) and for (not) expecting
antibiotics for otitis media and the common respiratory tract infections should be explored in future research.
Antibiotics were issued during 57% of all contacts for the included diagnoses, ranging from 22%(upper respiratory tract infection) to 91% (tonsillitis). All patients who had first time office consultations for
tonsillitis, acute bronchitis and pneumonia, were prescribed antibiotics. One out of three patients who consulted
the doctor on the telephone for these diagnoses, were also prescribed an antibiotic.
8610 physician-patient contacts, and 4909 antibiotic prescriptions for otitis media, upper respiratorytract infection, tonsillitis, sinusitis, acute bronchitis, and pneumonia.
Cross sectional, multipractice study.GPs in the Norwegian county of Møre & Romsdal. Data were recorded during two months.To examine how frequently general practitioners actually prescribe antibiotics for patientscontacting them for otitis media, and the most common respiratory tract infection diagnoses, – by the type of
doctor-patient contact during prescribing, and patients' age and sex.
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